Jorgensen, Ben Cooper

Jorgensen, Ben Cooper is an individual health care provider with primary practice located at 550 Pond View Dr Ste 2 , North Liberty IA 52317. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Jorgensen, Ben Cooper can be contacted via phone (319) 459-1975.

Contact Information

Primary practice address
550 Pond View Dr Ste 2 North Liberty IA 52317
Phone: (319) 459-1975
Fax: (319) 459-1977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 09095 Iowa

Profile Details

NPI number 1649521121
LBN Legal business name Jorgensen, Ben Cooper
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Apr 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649521121 NPPES
Iowa Other 1649521121 LHI

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